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Performance Evaluation of the Regional Aids Commission in New Case Detection Rate Activities Astuti, Rita; Saimi, Saimi; Sastrawan, Sastrawan
Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Vol 12, No 4: October 2024
Publisher : IKIP Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/j-ps.v12i4.12752

Abstract

HIV/AIDS remains a significant public health concern in Indonesia, with reported cases reaching 519,158 in 2022, including 1,188 children. The Indonesian government prioritizes HIV/AIDS control within its Minimum Service Standards, yet effective implementation varies by region. This study evaluates the performance of the Regional AIDS Control Commission (KPAD) in Bima City, focusing on their role in detecting new HIV cases. Using a qualitative design, data were gathered through interviews with seven key informants, providing insights into KPAD’s operational and strategic challenges. Findings indicate that while Bima City KPAD holds primary responsibility for HIV/AIDS control, its impact has been limited. Operational setbacks, such as inadequate coordination with health services and restricted funding, have hindered effective case detection and public health outreach. By the end of 2022, Bima City recorded 31 new HIV cases, yet KPAD's involvement in early detection and case management remains suboptimal. Despite well-formulated plans within technical units, KPAD lacks proactive engagement, impeding its ability to fulfill its role as the leading agency for HIV/AIDS control. The study highlights the need for enhanced coordination, clearer role delineation, and robust advocacy to strengthen KPAD’s effectiveness. Greater collaboration across health services and community organizations could amplify early detection efforts and improve treatment adherence, ultimately supporting Indonesia’s HIV/AIDS control objectives. This research underscores the critical role of inter-agency synergy in advancing HIV/AIDS prevention and management in Bima City.
Analysis of Factors Influencing The Drop Out of Family Planning Acceptors Widyastuti, Yuni; Menap, Menap; Sastrawan, Sastrawan; Pratiwi, Intan Gumilang
Jurnal Kesehatan Prima Vol 18, No 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1706

Abstract

Population issues are still the main focus of both developed and developing countries including Indonesia. The government through the Population and Family Planning Sector continues to strive to reduce the Total fertility Rate by reducing the drop out rate of contraceptive use. Drop out is the non-participation of fertile age couples to become family planning acceptors. The purpose of this study was to determine the factors that influence the drop out of family planning acceptors in West Lombok Regency. Previous studies stated that the factors causing drop out were knowledge, attitudes and distance from health services. The difference between this study and previous researchers is the research method used, the location of the study and the time of the study, and to determine the most dominant factors causing drop out. The research design used Cross-Sectional, a population of 135,076 with a sample size of 100 fertility age couple obtained randomly using the proportional to size method, the research instrument used a questionnaire. Data analysis used the chi square test to determine the effect and the multivariate logistic regression test to see the most dominant effect. Results: Chi Square test of knowledge factor obtained p value 0.000 < from alpha (0.05), motivation factor obtained p value 0.0005 < from alpha (0.05), access factor obtained p value 0.961 > from alpha (0.05), insurance ownership obtained p value 0.001 < from alpha (0.05) and work obtained p value 0.000 < from alpha (0.05) Conclusion: there is an influence of knowledge, motivation, insurance ownership and respondent's work with the occurrence of drop out in family planning acceptors while respondent access has no influence on the occurrence of drop out in West Lombok Regency. While the most dominant factor is motivation with OR value 5.575, meaning KB acceptors who do not have strong motivation have a risk or tendency of 5 to 6 times dropping out as family planning acceptors.
Prosedur Pengelolaan Dana Kas Kecil Yayasan Pusdiklat Buddhis Bodhidharma Sastrawan
Global Accounting Vol. 3 No. 2 (2024): Global Accounting : Jurnal Akuntansi
Publisher : Fakultas Bisnis

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Laporan Kerja magang ini disusun untuk memberikan gambaran tentang tugas dan hasil pekerjaan yang telah dilakukan oleh penulis dengan tujuan untuk memenuhi persyaratan dalam menyelesaikan pendidikan pada program studi D3 jurusan akuntansi di Universitas Buddhi Dharma Tangerang. Praktik Kerja Magang dilakukan penulis di Yayasan Pusdiklat Buddhis Bodhidharma. Pengelolaan dana kas kecil ini merupakan aspek penting dalam administrasi keuangan Yayasan untuk memastikan kelancaran operasional dan penggunaan dana yang efektif. Pengelolaan dana kas kecil ini memiliki tujuan untuk memahami  kekuatan, kelemahan, sistem pengelolaan dan pencatatan dana kas kecil di. Yayasan Pusdiklat Buddhis Bodhidharma telah menerapkan prosedur penyelenggaraan yang menggunakan metode dana tetap, yang dianggap tepat karena jumlah uang yang diminta sesuai dengan jumlah bukti kas keluar. Metode kas kecil ini membuat pembukuan kas kecil dengan jumlah rekening sama atau tetap, memastikan akurasi yang efektif dalam data akuntansi yang terkait dengan kas.
Analysis of the Differences in the Quality of Life of Pulmonary TB and Diabetes Mellitus Patients Hadi, Zulfi Wirman; Sastrawan, Sastrawan; Sismulyanto, Sismulyanto
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1697

Abstract

The low quality of life of pulmonary TB sufferers is in physical, psychological and social aspects, while diabetes mellitus sufferers show a better quality of life. Social stigma, limited social support, and stress due to complex illnesses and treatments are also problems that affect patients' mental and emotional conditions. This study used a comparative design to compare the quality of life of individuals with TB and DM at the Meninting Community Health Center UPT. Data collection in July 2024 with a cross-sectional design. The findings of this research are that there is a significant difference in the quality of life between pulmonary TB and diabetes mellitus (DM) sufferers in the Meninting Community Health Center UPT Working Area, West Lombok Regency. DM sufferers tend to have a better quality of life in physical, psychological, social and environmental health indicators compared to pulmonary TB sufferers. This can be caused by factors such as social support, physical abilities, and living environment. This study shows the need for more intensive attention to pulmonary TB sufferers in improving the quality of life, especially in social and environmental aspects, in order to improve welfare conditions.
An analysis of the maternal health referral system: a case study of the BAKSOKUDA system in Central Lombok, Indonesia Sastrawan, Sastrawan; Sulaiman, Lalu; Erawati, Eva
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24349

Abstract

Maternal mortality remains a critical concern in Central Lombok, with over 50% of maternal deaths in hospitals involving cases referred through the BAKSOKUDA referral system. This suggests potential failures within the referral process, raising concerns about systemic issues compromising maternal health emergencies. This research uses a qualitative case study methodology to investigate the BAKSOKUDA system, aiming to identify the challenges contributing to high maternal mortality and provide insights for improving healthcare outcomes. Data were collected through semi-structured interviews with eleven participants: midwives, doctors, nurses, and a hospital manager. Thematic analysis identified several critical issues: communication breakdowns, inconsistent adherence to protocols, difficulties in securing family cooperation, inadequate infrastructure, and lack of community support for blood donation. These findings highlight four interrelated components—human resources, the professional environment, patients and families, and community support—as central to effective maternal health systems. To address these challenges, the study recommends enhancing communication and protocol adherence, providing comprehensive midwife training, promoting cultural sensitivity, and addressing systemic issues like ambulance availability. Strategic planning, resource allocation, and regional coordination are essential to improving infrastructure and ensuring effective referrals. The findings stress the need for a holistic approach, continuous improvement, and active community engagement to optimize maternal care.
Prediction Model for Low Birth Weight (LBW) in East Lombok Regency Nurlaili, Mustika; Masyhurrosyidi, Hadi; Sastrawan, Sastrawan; Sulaiman, Lalu
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v1i2.11068

Abstract

Introduction: The success of midwifery care has an impact on maternal health and greatly influences future generations of the nation and state. Purpose: recommendations for reducing the incidence of LBW based on an analysis of the influence of the determinants of the cause. Method: observational study with cohort design. The population is all pregnant and giving birth women in East Lombok Regency amounting to 27,463 people. The sample was calculated using the binomial formula, using the simple random sampling technique, and obtained 400 samples (α = 0.05). Results Spontaneous delivery, delivery at the polindes, and delivery assisted by a midwife, while newborns are female and weigh more than 2,500 grams. The determinant effect of the mother on the incidence of low birth weight babies (LBW) consists of the age of the mother with a significance value of 0.005 RR: 1,544 (1,026 to 2,497), gestational age 0,010 RR: 1,406 (1,058 to 2,159), frequency of antenatal care (ANC) 0,005 RR: 1,763 (1,186 to 2,620). The prediction model for LBW incidence was obtained by simultaneously testing the determinants of the causes of LBW incidence in East Lombok District, namely Antenatal Care (ANC) with PR: 2,381, 95% CI (1,387 to 4,088) and a significance of 0.002. Recommendation: health promotion is carried out by taking into account the characteristics of the mother so that it is easy to understand, the team of officers will follow up on the services provided such as providing supplements, blood pressure, healthy diet and adequate family involvement.
Satisfaction with health services received by patients in regional hospitals using SERVQUAL Aniharyati, Aniharyati; Haris, Abdul; Lalu, Sulaiman; Saimi, Saimi; Menap, Menap; Sastrawan, Sastrawan
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.25961

Abstract

The concept of patient satisfaction, which has historically been overlooked and undervalued, is gaining importance. We aimed to investigate patient satisfaction with health services at the hospital. This cross-sectional study was conducted between January and June 2024. The study was conducted at Bima City Regional Hospital, NTB, Indonesia. The sample obtained was 437. The level of satisfaction was measured using 19 questions. Chi-square test and logistic regression were used in this study. The highest opportunity for reliability and responsiveness was found in patients aged 20–29 with OR and CI values of 1.97 (1.65–2.98) and 1.76 (1.03–2.09), respectively. For the tangibles dimension, the highest opportunity was in the age of 40-49 with OR and CI values of 1.98 (2.03–4.37). The highest OR (CI) values for each employed status namely 0.96 (0.77–1.21), 0.89 (0.67–1.18), 0.76 (0.41–1.40), 0.79 (0.51–1.70), and 0.92 (0.72–1.23). Meanwhile, at the level of education, respondents with university education had the highest opportunity value in all dimensions, with OR and Ci values of 0.84 (0.58–1.34), 1.42 (0.78–2.51), 0.51 (0.19–1.56), 0.59 (0.22–1.67), 1.45 (0.82–2.87). In conclusion, patient satisfaction with health services was influenced by age, employment status, and provider friendliness.
Socio-Cultural And Maternal Mental Health Factors In Stunting Among The Sasaq Tribe Central Lombok Sulaiman, Lalu; Sastrawan; Husein, Lalu Muhammad Sadam; Muslim, Al
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.143-152

Abstract

Background: Stunting is one of the indicators of the success of a nation's development, especially development in the health sector. Stunting will not only affect the shape of children's body posture which is shorter than other children of the same age, but stunting can also have implications for children's cognitive abilities which determine the nation's competitiveness in the future. Objective: The general objective of this study is to explore socio-cultural factors and maternal mental health related to stunting. Method: The method used in this study is a qualitative-descriptive method with a content analysis approach. Data were collected through in-depth interviews using interview guidelines. Results: The results of this study indicate that the risk factors for stunting are high rates of child marriage, low family economic resources, high divorce rates, high rates of high-risk pregnancies and maternal mental health conditions. Based on the results of this study, it can be concluded that socio-cultural factors and maternal mental health conditions are determinants of stunting. From the results of this study, it is recommended that local governments empower adolescents to reduce the rate of child marriage in preventing maternal mental health disorders, for example by forming youth classes in each village as a forum to socialize the negative impacts of child marriage.
Education on Normal and Caesarean Delivery Based on Leaflets and Animated Videos Wulandari, R.A; Sastrawan, Sastrawan; Sismulyanto, Sismulyanto; Sulaiman, Lalu; Anggraeni, Ni Putu Dian Ayu
GUYUB: Journal of Community Engagement Vol 6, No 3 (2025): September
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/guyub.v6i3.12264

Abstract

The cesarean section (CS) rate in Mataram City has reached 67.2%, far above the national average. This increase raises medical, social, and economic concerns, especially since many procedures are performed without clear medical indications. A key contributing factor is low health literacy among women of reproductive age, including limited understanding of childbirth options, fear of pain, misconceptions about safety, and lack of family support. This community service activity applied a Participatory Action Research (PAR) approach in four stages: (1) problem identification with health centers, cadres, and women of reproductive age; (2) development of educational media in the form of leaflets and animated videos; (3) implementation through interactive lectures and discussions with 30 participants at Yarsi Mataram; and (4) participatory reflection and evaluation using pre–post tests. the findings showed an increase in average knowledge scores from 72.33 to 91.33. Beyond knowledge, participants also reported reduced fear of normal delivery, greater confidence in making childbirth decisions, and stronger commitment to seek support from health workers and families. This activity demonstrates that targeted health education can effectively improve both knowledge and attitudes toward childbirth. Replication is recommended in other areas with high CS rates, with cadres and community leaders trained as facilitators to ensure sustainability and wider impact.
ANALISIS HUBUNGAN TINGKAT PENGETAHUAN, FREKUENSI PEMBERIAN PROMOSI KIE DAN MINAT PADA IUD PASCA PLASENTA DENGAN PENGGUNAAN METODE KB PADA BIDAN DI KABUPATEN LOMBOK TENGAH Rahmawati, Trisna Anesa; Sastrawan, Sastrawan
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 9, No 2 (2024): JULI
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v9i2.20532

Abstract

Abstract: Midwives play a pivotal role as influential figures in endorsing the adoption of contraceptive methods, concurrently engaging in the promotion and dissemination of Information, Education, and Communication (IEC) to Women of Childbearing Age (WUS). Consequently, the knowledge, attitudes, and practices exhibited by midwives wield considerable influence over the decision-making processes of expectant mothers concerning their pregnancies and childbirth. Research Objective: The primary aim of this study is to scrutinize the interplay between midwives' knowledge, interest in post-placental intrauterine device (IUD), and their IEC promotional efforts in relation to the selection of contraceptive methods within the midwifery community in Central Lombok Regency. Methodology: Employing an analytical survey with a cross-sectional design, this research encompassed a study population of 1201 individuals, with a specific sample size of 218. Data acquisition was carried out through the utilization of a Google Form. Findings: A statistically significant correlation was identified between midwives' interest in post-placental IUD and the utilization of IUD contraceptive methods (p-value=0.002). Conversely, no discernible relationship was observed between the proficiency of midwives' knowledge and their promotional and IEC activities and the adoption of IUD contraceptive methods. Conclusion: The study concludes that midwives' expressed interest in post-placental IUD is notably associated with the prevalent use of IUD contraceptive methods among midwives in Central Lombok Regency.Abstrak: Bidan dapat bertindak sebagai role model dalam penggunaan metode kontrasepsi sekaligus dapat memberikan promosi dan pemberi KIE kepada WUS. Dengan demikian pengetahuan, sikap dan Tindakan bidan dapat berpengaruh terhadap keputusan ibu hamil dalam kaitannya dengan kehamilan dan kelahirannya. Tujuan Penelitian: Untuk menganalisis hubungan pengetahuan bidan, minat bidan pada IUD pasca plasenta dan tindakan promosi KIE dengan pilihan metode KB pada bidan di kabupaten lombok Tengah. Metode: Penelitian menggunakan survey analitik dengan rancangan cross sectional. Populasi penelitian ini adalah 1201 orang dengan sampel sebanyak 218 orang Peneliti mengumpulkan data menggunakan google form. Hasil penelitian: Terdapat hubungan yang signifikan antara minat bidan terhadap IUD pasca plasenta dengan penggunaan metode KB IUD (p value=0,002). Tidak ada hubungan tingkat pengetahuan bidan serta tindakan promosi dan KIE dengan penggunaan metode KB IUD Kesimpulan: Minat bidan terhadap IUD pasca plasenta berhubungan signifikan dengan penggunaan metode KB IUD pada bidan di Kabupaten Lombok Tengah.